渐进性肌肉松弛和欢笑疗法对接受体外受精的女性心理健康和治疗结果的影响:一项随机对照试验。

Effectiveness of progressive muscle relaxation and laughter therapy on mental health and treatment outcomes in women undergoing in vitro fertilization: A randomized controlled trial.

机构信息

Department of Obstetrics and Gynecology Nursing, Seydişehir Kamil Akkanat Faculty of Health Sciences, Necmettin Erbakan University, Seydişehir, Konya, Turkey.

Department of Public Health Nursing, Faculty of Nursing, Selcuk University, Konya, Turkey.

出版信息

Res Nurs Health. 2021 Dec;44(6):945-956. doi: 10.1002/nur.22187. Epub 2021 Oct 3.

Abstract

A majority of infertile women experience emotional problems, such as anxiety and depression. Nurses need nonpharmacological methods rather than drugs to address women's emotional distress during the in vitro fertilization (IVF) process. The purpose of this study was to examine the effect of progressive muscle relaxation exercises and laughter therapy on the mental health and treatment outcomes of women receiving IVF treatment. This parallel-group, randomized controlled trial was conducted in a private IVF center. Participants were randomly assigned to the intervention group (IG; n = 71) and control group (CG; n = 70). The IG received progressive muscle relaxation and laughter therapy for 40 min in each session for 3-4 sessions, whereas the CG received routine care. Data were obtained from the patient information form, State-Trait Anxiety Inventory, Beck Depression Inventory, and medical records. The questionnaire was completed at recruitment (T1) and oocyte pick-up day (T2). In the evaluation performed on the day of the oocyte pick-up, depression and trait anxiety scores of the IG were found to be lower than those in the CG, and the effect size was small. Group × time interaction was significant for depression (large effect size) and trait anxiety (small effect size). The estradiol levels, the number of oocytes, transfer status, and pregnancy rates (according to a blood test) were similar between groups. Women receiving IVF treatment who received progressive muscle relaxation and laughter therapy demonstrated psychological changes; however, the treatment did not affect medical outcomes.

摘要

大多数不孕妇女会经历焦虑和抑郁等情绪问题。护士需要采用非药物方法而非药物来解决女性在体外受精(IVF)过程中的情绪困扰。本研究旨在探讨渐进性肌肉松弛练习和欢笑疗法对接受 IVF 治疗的女性心理健康和治疗结果的影响。这是一项在私立 IVF 中心进行的平行组随机对照试验。参与者被随机分配到干预组(IG;n=71)和对照组(CG;n=70)。IG 接受每次 40 分钟的渐进性肌肉松弛和欢笑疗法,共 3-4 次,而 CG 则接受常规护理。数据来自患者信息表、状态-特质焦虑量表、贝克抑郁量表和病历。问卷在招募时(T1)和取卵日(T2)完成。在取卵日进行评估时,IG 的抑郁和特质焦虑评分均低于 CG,且效应量较小。抑郁(大效应量)和特质焦虑(小效应量)的组×时间交互作用具有统计学意义。两组的雌二醇水平、卵母细胞数量、转移状态和妊娠率(根据血液检查)相似。接受渐进性肌肉松弛和欢笑疗法的 IVF 治疗女性表现出心理变化;然而,治疗并未影响医疗结果。

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